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** TRUST IT’S SPOT-ON The dual compression system that guarantees Continuous, Consistent, Comfortable compression BEST PRACTICES FOR DUAL COMPRESSION SYSTEM APPLICATION

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Page 1: TRUST IT’S SPOT-ONurgomedical.us/wp-content/uploads/2020/06/15748... · adhesive tape. Measure the ankle after padding and select the appropriate kit size. Next, apply the 2 UrgoK2

**

TRUST IT’S SPOT-ONThe dual compression system that guarantees

Continuous, Consistent, Comfortable compression

BEST PRACTICES FOR DUAL COMPRESSION SYSTEM APPLICATION

Page 2: TRUST IT’S SPOT-ONurgomedical.us/wp-content/uploads/2020/06/15748... · adhesive tape. Measure the ankle after padding and select the appropriate kit size. Next, apply the 2 UrgoK2

1 PADDED COMPRESSION SHORT-STRETCH BANDAGE80% of pressure• Confers rigidity• Contributes to patient comfort• Absorbs exudate

1 COHESIVE COMPRESSION LONG-STRETCH BANDAGE20% of pressure• Maintains pressure when resting• Holds the system in place

International guidelines recognize the superior efficacy of multi-component bandages

“Multi-component bandages are more effective than single component bandages”1

“Multi-component systems containing an elastic bandage appear to be more effective than those composed mainly of inelastic constituents.”2

2 3

COMFORTABLEUrgoK2 provides comfortable compression around the clock for better concordance, according to patients.

95%

of patients preferred UrgoK2 to their previous

compression system5,6

92%

of patients found UrgoK2 comfortable

during the night5

85%

of patients wish to continue their

treatment with UrgoK27

CONTINUOUSUrgoK2 stays in place and optimizes continuous pressure whether the patient is in motion or not3

CONSISTENTNo more wondering whether your patient is receiving the effective pressure to heal. UrgoK2 removes the guesswork with easy-to-follow visual guides

3

of nurses reach the recommended

therapeutic pressure (~40 mmHg at the ankle) from the first application.4

85%

UrgoK2 DUAL COMPRESSION SYSTEM

ALLOWS YOU TO APPLY WITH CONFIDENCE

MAXIMIZE THE 3 Cs OF

COMPRESSION THERAPY

Page 3: TRUST IT’S SPOT-ONurgomedical.us/wp-content/uploads/2020/06/15748... · adhesive tape. Measure the ankle after padding and select the appropriate kit size. Next, apply the 2 UrgoK2

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UrgoK2 APPLICATION FUNDAMENTALS

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THE CORRECT STRETCH

THE CORRECT KIT

Non-stretched bandage Correctly stretched bandage

To apply the correct tension, stretch the bandage fully and ensure that the oval becomes a circle.

To select kit size, measure the ankle circumference, approximately 2 cm above the malleolus.

2 sizes available

The UrgoK2 compression system preferably should be applied in the morning, after waking up, or after having raised the patient’s legs for a long enough period to reduce orthostatic edema.

THE CORRECT OVERLAP

50% overlap 2/3 overlap

To apply the correct overlap, each new wrap should cover the previous circle, positioned at its base.

1

1/21/2

25-32 cm 18-25cm

2/3 1/3

25-32 cm 18-25cm

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UrgoK2

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INCORRECT CORRECT

18-25 cm7⅛-9¾ in.

25-32 cm9¾-12½ in.

18-25 cm7⅛-9¾ in.

25-32 cm9¾-12½ in.

Page 4: TRUST IT’S SPOT-ONurgomedical.us/wp-content/uploads/2020/06/15748... · adhesive tape. Measure the ankle after padding and select the appropriate kit size. Next, apply the 2 UrgoK2

UrgoK2 STANDARD SYSTEM APPLICATION

To ensure that only the white bandage is in contact with the skin, leave a 1 cm margin around the toes and knee.

Position the foot at a 90° angle. Start at the base of the toes, making 2 wraps without applying excess pressure.

Take the heel, making a figure 8 wrap around the ankle. Ensure that the heel is fully covered.

From the ankle, wrap up to the knee in spirals, using the pressure spot indicators as a guide (see “Fundamentals,” pp. 4-5).

Finish 2 cm below the knee and cut off any excess bandage. Secure with adhesive tape.

Apply the second bandage on top of the first, using the same technique.

Cut off any excess bandage and apply gentle pressure with the hands along the leg to ensure correct cohesion of the second bandage.

6 7

18-25 cm kit: Start with the pressure indicators facing away from the toes (facing the patient).

25-32 cm kit: The pressure indicators are placed in the center.

90°

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STEP 1: APPLYING THE WHITE SHORT-STRETCH BANDAGE STEP 2: APPLYING THE BEIGE LONG-STRETCH BANDAGE:

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10

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Page 5: TRUST IT’S SPOT-ONurgomedical.us/wp-content/uploads/2020/06/15748... · adhesive tape. Measure the ankle after padding and select the appropriate kit size. Next, apply the 2 UrgoK2

How to apply the white bandage

Apply the white bandage, positioning the roll upward (pressure spot indicators visible) and the pressure spot indicators toward the end of the toes.

Apply the beige bandage on top of the white bandage, positioning the roll downward (pressure spot indicators visible by transparency) and the pressure spot indicators toward the top of the leg.

Overlap the wraps such that the pressure spot indicators remain visible. The bottom edge of the bandage should touch the top of the pressure spot indicator without covering it.

Overlap the wraps such that each new wrap barely covers the pressure spot indicators, being positioned at its base.

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UrgoK2

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UrgoK2

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How to hold the white bandage roll How to hold the beige bandage roll

How to apply the beige bandage

TECHNIQUE IDENTICAL TO STANDARD APPLICATION, EXCEPT:

1 3

42

UrgoK2 LEFT-HANDED APPLICATION

(or for people who hold the roll in their left hand)

Page 6: TRUST IT’S SPOT-ONurgomedical.us/wp-content/uploads/2020/06/15748... · adhesive tape. Measure the ankle after padding and select the appropriate kit size. Next, apply the 2 UrgoK2

Why?

Need to restore an inverted cone leg shape

to achieve degressive compression.

How?

Inverted champagne

bottle-shaped leg.

Ankle fibrosis. Lack of calf muscle.Unmarked

calf muscle.

Depending on leg morphology, fill the hollow, reconstitute the calf muscle or reinforce the ankle using a strip of wadding.

Modulate thickness according to the desired degree of reinforcement.

Fasten the reinforcement with adhesive tape.

Measure the ankle after padding and select the appropriate kit size.

Next, apply the 2 UrgoK2 bandages in a standard manner, above the reinforcement.

MA

IN P

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Venous or mixed leg ulcer healing

requires application of therapeutic compression,

enabling the blood to rise from the

bottom to the top of the body.

To enable blood to move up along the leg, compression

should be degressive from the ankle

(~40 mmHg) to the knee (~20 mmHg).

For this, the patient’s leg should be shaped like an inverted cone.

If this is not the case, a padding device (foam,

wadding, cushions, etc.) may be used

to re-form an inverted cone shape.

RESTORE PROPER LEG SHAPE

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Why?Why?

How? How?

* It is sometimes necessary to use padding devices (foam, wadding, cushions, etc.) to protect areas at risk of excess pressure (bone protrusions) and avoid possible lesions.

* These excess pressure areas are frequently located on the tibial crest and Achilles tendon.

* In the event of very stout legs, the bandage may not be long enough to reach the knee.

In this case, 2 UrgoK2 kits must be used to cover the entire leg and to achieve the recommended level of compression (~40 mmHg at the ankle).

1 Cut a length of wadding strip.

2 Position it vertically along the tibial crest.

3 Next, apply UrgoK2 in a standard manner,

above the reinforcement.

Start by measuring the ankle circumference and select the appropriate kit size.

Apply the white bandage from the first kit until this bandage runs out. Fasten with adhesive tape.

Successively apply the 2 beige bandages above the white bandages using the same technique.

Continue with the white bandage from the second kit. Ensure that the required overlap is respected when starting the second white strip. Finish 2 cm below the knee and cut off any excess bandage. Fasten with adhesive tape.

MA

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APPLICATION FOR STOUT LEGSPROTECT BONE PROTRUSIONS

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TIP

S

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UrgoK2 APPLICATION TIPS

SHARED BY HEALTHCARE PROFESSIONALS

THE CORRECT STRETCH

Non-stretched bandage Correctly stretched bandage

INCORRECT CORRECT

To help you during application: If the patient is able to, you can ask them to hold the 2 ends of a piece of white bandage slipped under their foot to maintain the foot at an angle of 90°.

If the patient is wearing a compression bandage for the first time:To allow the patient to become slowly accustomed to compression, some caregivers apply UrgoK2 for the first time at a slightly lower pressure or use UrgoK2 Lite.

To facilitate shoe fitting:Once the beige bandage has been applied, use a nylon stocking so that it slides more easily into the shoe to facilitate fitting.

Once the UrgoK2 bandages have been applied, some caregivers apply the excess beige bandage vertically starting under the foot and moving up to below the knee. This has a “shoehorn” effect.

Page 9: TRUST IT’S SPOT-ONurgomedical.us/wp-content/uploads/2020/06/15748... · adhesive tape. Measure the ankle after padding and select the appropriate kit size. Next, apply the 2 UrgoK2

This is not a prescription.UrgoK2 and UrgoK2 Lite. Two-layer multicomponent compression bandage system / high compression. For the treatment of venous leg ulcers, venous oedema and lymphoedema, jwhich required full compression. Contraindications: Arterial conditions (arterial or predominantly arterial ulcers; known or suspected arterial disease).; Ankle Brachial Pressure Index (ABPI) < 0.8; Patients suffering from diabetic microangiopathy, ischaemic phlebitis (phlegmatia coerulea dolens), septic thrombosis; Ulceration caused by infection; Allergy to any of the components – in particular latex for the “non-latex free” version.

URGO Medical North America, 3801 Hulen St. Ste. 251, Fort Worth, TX 76107, Tel 855-888-8273. www.urgomedical.usItem # 802- LT002 Rev. 02/20

Your representative:

Urgo Medical North America is your partner and is engaged in training clinicians. If you want to organize a training session on UrgoK2, please contact your local account manager.

References: 1. European Wound Management Association (EWMA). Position Document. Understanding compression therapy. London: MEP Ltd; 2003:13-14. 2. O’Meara S, et al. Compression for venous leg ulcers. Cochrane Database Syst Rev. 2012;14;11:CD000265. 3. Young T, et al. UrgoKTwo® Compression Bandage System made easy. Wounds Int. 2013;4:1-6. 4. Hanna R, Bohbot S, Connolly N. A comparison of interface pressures of three compression bandage systems. Br J Nurs. 2008;17(20):S16-24. 5. Jünger, et al. Comparison of interface pressures of three compression bandaging systems used on healthy volunteers. J Wound Care. 2009; 18(11): 474-80. 6. Benigni JP, Lazareth I, Parpex P, et al. Efficacy, safety and acceptability of a new two-layer bandage system for venous leg ulcers. J Wound Care. 2007;16(9):385-90. 7. Enquête PRESTO.

Length Width Code

71⁄8-93⁄4 in (18-25 cm) 4 in (10 cm) 553243

93⁄4-121⁄2 in (25-32 cm) 4 in (10 cm) 553244Not made with natural latex

Length Width Code

71⁄8-93⁄4 in (18-25 cm) 4 in (10 cm) 553245

93⁄4-121⁄2 in (25-32 cm) 4 in (10 cm) 553246Not made with natural latex

The UrgoK2 application video is available on the channel

Your representative: